Chronic and Complex Populations
FEATURED ARTICLE
Infographic: The Value of Building a State Palliative Care Benefit
/in Reimbursement Strategies Care Coordination, Chronic and Complex Populations, Palliative Care, Physical and Behavioral Health Integration, Reimbursement Strategies /by Salom TeshaleStates Are Increasing their Use of Medicaid Managed Care for Children and Youth with Special Health Care Needs
/in Medicaid Managed Care Care Coordination, Children/Youth with Special Health Care Needs, Children/Youth with Special Health Care Needs, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Eligibility and Enrollment, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Population Health, Program Design, Special Populations and Services /by Olivia Randi and Kate HonsbergerA new, 50-state analysis of Medicaid managed care programs by the National Academy for State Health Policy (NASHP) shows that in the past three years, state Medicaid managed care (MMC) programs have: Enrolled more children and youth with special health care needs (CYSHCN); Provided more services to them through managed care; and Launched more specialized […]
State Roles in Preventing and Improving Foster Care Placements for Children with Medical Complexity
/in Policy Featured News Home, Reports Care Coordination, Children/Youth with Special Health Care Needs, Children/Youth with Special Health Care Needs, Chronic and Complex Populations, Integrated Care for Children, Maternal, Child, and Adolescent Health, Physical and Behavioral Health Integration /by Catherine HessPatient-Centered Outcome Research Institute Informs States’ Use of Telehealth
/in Policy Blogs, Featured News Home Behavioral/Mental Health and SUD, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, COVID-19, Population Health, Quality and Measurement, Quality and Measurement /by Amanda Attiya, Christina Cousart and Maureen Hensley-QuinnIn response to COVID-19, states have made swift and unprecedented changes to enable the use of telehealth to meet the public’s need to safely access care remotely. Now, policymakers face the challenge of analyzing whether to sustain these changes as they weigh cost, privacy, and security considerations and effectiveness of remote care delivery. As officials […]
Three Approaches to Opioid Use Disorder Treatment in State Departments of Corrections
/in Policy Kentucky, Maine, Pennsylvania Featured News Home, Reports Behavioral/Mental Health and SUD, Chronic and Complex Populations, Chronic Disease Prevention and Management, Health Coverage and Access, Medicaid Expansion, Population Health, Social Determinants of Health /by Jodi Manz and Eliza MetteAs drug overdose fatalities continue to rise and incarceration rates remain high nationwide despite recent declines, states are increasingly developing opportunities for incarcerated individuals to access evidence-based opioid use disorder (OUD) treatment in state prison facilities. While the forced abstinence during incarceration can temporarily pause substance use itself, providing comprehensive treatment that includes medications for […]
Family Caregiving Advisory Council Refines Goals to Guide National Strategy
/in The RAISE Act Family Caregiver Resource and Dissemination Center Blogs, Featured News Home Chronic and Complex Populations, Council Meeting Materials and Resources, The RAISE Family Caregiver Resource and Dissemination Center /by Paige SpradlinThe Family Caregiving Advisory Council heard expert presentations on the intersection between the National Alzheimer’s Project Act (NAPA) Council and its own mission to guide the creation of a national caregiving strategy during its Aug. 12, 2020 meeting. The caregiving council is tasked by the Recognize, Assist, Include, Support, and Engage Family Caregivers Act of […]
States’ Efforts to Address Adverse Childhood Experiences Are Critical during COVID-19
/in Policy Blogs, Featured News Home Chronic and Complex Populations, COVID-19, Health Equity, Integrated Care for Children, Integrated for Pregnant/Parenting Women, Maternal, Child, and Adolescent Health, Physical and Behavioral Health Integration, Population Health, Social Determinants of Health /by Rebecca Cooper and Carrie HanlonAdverse childhood experiences (ACEs), such as poverty, food and/or housing insecurity, child abuse, neglect, and mental illness, contribute to poor health outcomes, and the pandemic’s health and economic impacts exacerbate the risk of ACEs. States are continuing to implement strategies to identify and measure ACEs and connect children to appropriate services that can mitigate potential […]
State Levers to Support Dental Care in COVID-19’s Public Health and Economic Emergency
/in Policy Blogs, Featured News Home Child Oral Health, CHIP, Chronic and Complex Populations, Chronic Disease Prevention and Management, COVID-19, Health Coverage and Access, Health Equity, Integrated Care for Children, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Medicaid Managed Care, Oral Health, Population Health, Social Determinants of Health /by Allie AtkesonCOVID-19 has greatly impacted dental care and oral health access in the United States. From closed offices to an increased need for personal protective equipment (PPE), states and providers are both facing challenges to connect patients to dental care. With reduced tax revenue and looming budget crises, states are also facing difficult budget decisions – […]
State Strategies to Safely Transition Children with Special Health Care Needs Back to School
/in Policy Blogs, Featured News Home Children/Youth with Special Health Care Needs, Children/Youth with Special Health Care Needs, Chronic and Complex Populations, COVID-19, Health Equity, Maternal, Child, and Adolescent Health, Population Health, Social Determinants of Health /by Eskedar GirmashAs states explore back-to-school remote or in-person learning options, they are developing strategies to meet the needs of children and youth with special health care needs (CYSHCN) in their education and public health systems. These approaches include: Developing risk assessment tools for children and families; Increasing staffing to ensure physical distancing; Enhancing collaboration between education […]
NASHP’s Report on Medicaid Family Caregiver Supports to Inform the RAISE Act Report to Congress
/in The RAISE Act Family Caregiver Resource and Dissemination Center Chronic and Complex Populations, Council Meeting Materials and Resources, State Resources, The RAISE Family Caregiver Resource and Dissemination Center /by NASHP StaffThe National Academy for State Health Policy (NASHP) is developing a report on how family caregiving impacts state Medicaid programs, and the role Medicaid plays in supporting family caregivers. Medicaid — jointly funded and administered by the federal and state governments — provides health coverage to millions of Americans, including low-income adults, children, older adults, and people with disabilities. Relatives and friends […]

For individuals living with complex, often chronic conditions, and their families, palliative care can provide relief from symptoms, improve satisfaction and outcomes, and help address critical mental and spiritual needs during difficult times. Now more than ever, there is growing recognition of the importance of palliative care services for individuals with serious illness, such as advance care planning, pain and symptom management, care coordination, and team-based, multi-disciplinary support. These services can help patients and families cope with the symptoms and stressors of disease, better anticipate and avoid crises, and reduce unnecessary and/or unwanted care. While this model is grounded in evidence that demonstrates improved quality of life, better outcomes, and reduced cost for patients, only a fraction of individuals who could benefit from palliative care receive it. 
























































































































































How States Are Administering Opioid Settlement Funds
/in Behavioral/Mental Health and SUD Featured News Home, Maps Behavioral/Mental Health and SUD, Opioid Use Disorder Chronic and Complex Populations /by Mia AntezzoNASHP Resource Hub: State Strategies to Build and Support Palliative Care
/in Policy Reports, Toolkits Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Community Health Workers, Cost, Payment, and Delivery Reform, Featured Policy Home, Health Coverage and Access, Health System Costs, Long-Term Care, Medicaid Managed Care, Palliative Care, Physical and Behavioral Health Integration, Population Health, Workforce Capacity Chronic and Complex Populations /by Kitty Purington, Wendy Fox-Grage and Salom TeshalePalliative care helps individuals with serious illness better manage the symptoms and stressors of disease. These services are interdisciplinary, person- and family-centered, and can help people at any stage of a serious illness.
States are uniquely positioned to influence how Americans think about access, and experience palliative care.